Individual provider · Type 1 NPI

Lacy Lin Vadder, COTA/L

Occupational Therapy Assistant · Hennessey, OK

NPI number 1194166264 Active

Practice location

1679 N 2780 Rd
Hennessey, OK 73742-6624

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X844 (OK)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

About NPI 1194166264

Lacy Lin Vadder, COTA/L's National Provider Identifier is 1194166264, issued on Jul 17, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Hennessey, OK. The record was last updated on Jul 17, 2013.